Lower Abdominal Pain: When to See a Gynecologist

Lower abdominal pain?

Hello, doctor: If I have a dull pain in my lower abdomen, which specialty should I see? If it's gynecological, I would like to schedule an appointment with you.
The other day, I went to the night market with my sister and wanted to eat salty crispy chicken.
She mentioned that women who eat too much of it may develop uterine fibroids.
Is that true? Thank you.

huanzhe, 30~39 year old female. Ask Date: 2012/10/15

Dr. Lin Wenbin reply Obstetrics and Gynecology

There are many causes for lower abdominal discomfort.
It is advisable to first consult a gynecologist; if no issues are found, it may be necessary to see a gastroenterologist or other specialists.
There are no documented reports indicating that consuming salty fried chicken leads to the development of uterine fibroids.
However, if the chicken contains residual growth hormones and is consumed over a long period, it could potentially have adverse effects on the body and may stimulate tumor growth.

Reply Date: 2012/10/15

More Info

When it comes to lower abdominal pain, especially in women, it is essential to understand the potential causes and when to seek medical attention. Lower abdominal pain can arise from various sources, including gynecological, gastrointestinal, urinary, and musculoskeletal issues. Given your symptoms of a dull ache in the lower abdomen, it is advisable to consult a gynecologist first, as they specialize in female reproductive health and can evaluate conditions such as uterine fibroids, endometriosis, pelvic inflammatory disease, and ovarian cysts.

Uterine fibroids, which are non-cancerous growths in the uterus, can indeed cause discomfort and pain. They are quite common and can vary in size. While there is no definitive evidence linking the consumption of specific foods, such as fried foods like "鹹酥雞" (salty crispy chicken), to the development of fibroids, maintaining a balanced diet is crucial for overall health. Some studies suggest that a diet high in red meat and low in fruits and vegetables may be associated with a higher risk of fibroids. However, more research is needed to establish a direct connection.

If you experience persistent or severe pain, it is essential to seek medical attention promptly. You should consider seeing a gynecologist if you have any of the following symptoms:
1. Severe Pain: If the pain is intense and debilitating, it warrants immediate evaluation.

2. Changes in Menstrual Cycle: Heavy bleeding, irregular periods, or spotting between periods can indicate underlying issues.

3. Pain During Intercourse: Discomfort during sexual activity can be a sign of various gynecological conditions.

4. Accompanying Symptoms: Symptoms such as fever, vomiting, or changes in bowel habits alongside abdominal pain should be evaluated urgently.

5. History of Gynecological Issues: If you have a history of conditions like endometriosis or pelvic inflammatory disease, it is wise to consult a specialist.

In addition to gynecological evaluations, if your symptoms suggest gastrointestinal issues, such as changes in bowel habits or pain associated with eating, a gastroenterologist may also be appropriate. Conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even appendicitis can present with similar symptoms.

It is also important to consider the psychological aspect of pain. Anxiety and stress can exacerbate physical symptoms, including abdominal pain. If you find that your pain is linked to stress or anxiety, discussing these feelings with a healthcare provider may also be beneficial.

In summary, if you are experiencing dull lower abdominal pain, starting with a gynecologist is a prudent choice. They can perform necessary examinations, such as ultrasounds or pelvic exams, to determine the cause of your pain. If needed, they may refer you to other specialists based on their findings. Remember, early intervention is key to managing any potential health issues effectively.

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